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MIMIC-CXR-JPG/2.0.0/files/p17164830/s53770817/7b568282-80bdc66a-b82da3d8-8e399049-57ecd8df.jpg
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biapical scarring and fibrosis again seen. interstitial opacities are seen, predominantly on the left, left mid to lower lung, nonspecific in could relate to infection, asymmetric edema, or lymphangitic carcinomatosis. right mid lung linear scarring is seen. pulmonary nodules seen on prior ct are better assessed on ct, which is more sensitive. no pleural effusion is seen. there is no pneumothorax. the cardiac silhouette is not enlarged. mediastinal contours are unremarkable.
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history: <unk>f with breast ca, worsening dyspnea on exertion // ? acute cardiopulm process
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left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. the heart remains moderately enlarged but unchanged. large hiatal hernia is again demonstrated. mediastinal and hilar contours are stable. fat containing posterior diaphragmatic hernia on the right is unchanged. patchy ill-defined opacity in the right lung base is new with with similar-appearing opacification in the left lung base. no pulmonary vascular congestion is demonstrated. a small right pleural effusion is likely present. there is no pneumothorax. diffuse demineralization of the osseous structures is seen. loss of height of a low thoracic vertebral body appears relatively unchanged. worsening compression deformity of a mid thoracic vertebral body is noted compared to the previous radiograph.
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mid right thoracic pain.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
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postoperative fever after total hip replacement. evaluate for pneumonia.
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since the prior chest x-ray, the right-sided pneumothorax appears to have resolved. the right chest tube is unchanged in position. again noted is a left subclavian approach catheter that terminates in the mid svc. there are no pleural effusions. cardial mediastinal silhouette is stable. unchanged appearance of surgical <unk> and drain overlying the epigastric region.
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<unk> year old man with chest tube in place s/p diaphragmatic injury with liver transplant. on waterseal for <num> hours // check status of pneumothorax. chest tube on waterseal
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the patient is status post median sternotomy with cabg. there is an unchanged fracture through the fourth sternotomy wire from the top. the bones are diffusely osteopenic. mild cardiomegaly despite the projection is unchanged. there is no pneumothorax. bilateral airspace opacities most likely due to pulmonary edema are unchanged. bilateral pleural plaques are again noted. the left costophrenic angle has been excluded from the field of view, thereby limiting assessment of the known left pleural effusion. the small right pleural effusion is not appreciably changed. the left subclavian picc line is unchanged, terminating at the superior cavoatrial junction.
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<unk> year old man presenting s/p mechanical fall with multiple inoperatble fractures, rp bleed, now with pna, uti, pleural effusions // pleural effusion eval
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal and stable. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>f with st depression // ?cpd
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ap and lateral views of the chest. the lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. the heart is enlarged, but similar compared to prior. no acute osseous abnormality is identified.
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<unk>-year-old female with shortness of breath, now on atrial fibrillation.
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lines and tubes: right-sided picc terminates at the cavoatrial junction. no change in position of left upper chest wall pacemaker and pacer wires. lungs: moderately well inflated with no lobar consolidation. pleura: likely loculated right pleural effusion along the chest wall. no pneumothorax. mediastinum: persistent cardiomegaly and hilar vascular prominence. bony thorax: no interval change.
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<unk> year old man with h/o dm, cad s/p des to ramus in <unk>, icd, ischemic cardiomyopathy (ef <unk>%), paf and complete heart block s/p ppm, presenting w/ decompensated schf. rising wbc. // assess for pneumonia
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an endotracheal tube ends between thoracic inlet and the carina in appropriate position. a new enteric tube projects with its tip over the stomach. bilateral pleural effusions are unchanged. right internal jugular central venous line ends in the distal svc, unchanged. no pneumothorax. cardiomediastinal and hilar contours are unchanged. left upper lobe mass is unchanged. asymmetric pulmonary edema worse on the right is unchanged.
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lung cancer, pleural effusions, new endotracheal tube and og tube.
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stable left lower lobe atelectasis and bilateral pleural effusions, left greater than right. there is new mild pulmonary edema. cardiomediastinal silhouette remains stable. post-surgical changes are again noted with surgical clips and median sternotomy wires. no pneumothorax.
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evaluation of patient with history of cerebrovascular accident and increased oxygen requirements.
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there is elevation of the right hemidiaphragm with adjacent streaky right basilar opacity which is most likely atelectasis. the lungs are otherwise clear. cardiac silhouette may be slightly enlarged but accentuated by a relatively low lung volumes. atherosclerotic calcifications seen at the aortic arch. no acute osseous abnormalities.
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<unk>f with dyspnea // please evaluate for acute cp process
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ap portable upright view of the chest. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
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<unk>f with r/o stemi/fall
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heart size is normal. cardiomediastinal silhouette and hilar contours are normal. lungs are clear. no vascular congestion or edema. pleural surfaces are clear without effusion or pneumothorax.
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history of esrd, no dialysis for a week. evaluate for edema.
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the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiomediastinal and hilar contours are within normal limits. no acute osseous abnormality is detected. there is no evidence of free air beneath the right hemidiaphragm.
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<unk>-year-old woman with history of marginal ulcer now with abdominal pain, here to evaluate for free air.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>f with abd pain s/p colonoscopy // r/o free air
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the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.
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<unk>-year-old woman with chest pain.
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the cardiac, mediastinal and hilar contours appear unchanged. the heart is normal in size. there is no pleural effusion or pneumothorax. the lungs appear clear.
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chest pain.
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cardiac size is normal. there are low lung volumes. there is minimal vascular congestion and bibasilar opacities likely atelectasis. there is no pneumothorax or pleural effusion.
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<unk> year old man with sepsis likely due to cellulitis/osteo // any acute process?
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cardiac silhouette size is normal. the mediastinal and hilar contours unchanged, with similar prominence of the hila bilaterally. lungs are hyperinflated with emphysematous changes again noted. no pulmonary vascular engorgement is present. patchy opacities in the right lung base may reflect atelectasis. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities detected.
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history: <unk>f with dyspnea, tachypnea to <num>s
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portable ap upright chest <unk> at <time>
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<unk> year old man with fever // fever, r/o pna fever, r/o pna
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ap portable upright view of the chest. asymmetric diffuse pulmonary opacity, right greater than left is noted. findings are concerning for asymmetric pulmonary edema, however the possibility of superimposed pneumonia at the right lower lung is difficult to exclude in the appropriate clinical setting heart size remains mildly enlarged. mediastinal contour grossly unremarkable. hilar congestion noted. bony structures are intact. no pneumothorax. no large effusion.
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: <unk>f with doe // eval for pna vs plumonary edema
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left lower lobe opacities are definitely present; however, in comparison to the most recent prior film, they are probably improving. right lower lobe opacities are certainly improving with a much clearer visualization of the diaphragm today than on the prior film. heart size is normal. aorta is slightly tortuous. no pleural effusion or pneumothorax.
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<unk>-year-old man with recurrent aspiration pneumonias, now with decreased breath sounds on the left. question pneumonia.
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in comparison to the chest radiograph obtained <num> day prior, there is a large, loculated hydropneumothorax in the left upper lung and a smaller loculated hydro pneumothorax in the mid left lung. rightward mediastinal shift is unchanged. a left-sided pleural drainage catheter is unchanged in position. unchanged large hiatal hernia. the right lung is fully expanded and clear.
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<unk> year old woman s/p l thoracotomy sup seg and lingual wedge // check interval change
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lungs are clear and well expanded bilaterally with no focal consolidations, lesions, or masses. there is no pleural effusion or evidence of pneumothorax. the aorta is slightly tortuous; otherwise, the cardiomediastinal silhouette is within normal limits. pleural surfaces are unremarkable. there are moderate degenerative changes seen along the thoracic spine.
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<unk>-year-old female with increased shortness of breath and dyspnea on exertion, history of smoking and cocaine use.
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ap upright and lateral views of the chest provided. lung volumes are low. bronchovascular crowding likely accounts for subtle opacity in the lower lungs. there is no large effusion or pneumothorax. no convincing signs of pneumonia or chf. the heart size appears within normal limits. the aorta is slightly unfolded. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>f with progressive <num> month hx sob and <num> day right foot/ankle pain/swelling after fall yesterday.
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the lungs are clear. the cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. median sternotomy wires are intact. no pneumothorax, pulmonary edema, pleural effusion, or pneumonia.
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<unk>f with sharp cp // ?acute cardiuplm process, ? mediastinal widening
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the lungs are normally expanded and grossly clear. mild enlargement of the cardiac silhouette is chronic. the mediastinal and hilar contours are normal. there is no large pleural effusion or pneumothorax. there is no pulmonary edema.
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altered mental status. evaluate for pneumonia.
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the endotracheal tube is appropriately positioned, ending <num> cm above the level of the carina. a right internal jugular central venous catheter ends in the mid svc, unchanged. an enteric catheter passes below the level of the diaphragm, ending in the upper stomach. the side-hole is positioned near the gastroesophageal junction, unchanged. there is a left-sided pacemaker with associated right atrial and right ventricular leads, as before. small bilateral pleural effusions are unchanged. coarse reticular opacities throughout both lungs, right greater than left, were seen as far back as <unk>, suggestive of pulmonary fibrosis. superimposed interstitial edema or areas of infection cannot be excluded given the diffuse background abnormality. the cardiac and mediastinal contours are unchanged. there is no pneumothorax.
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status post cardiac arrest. assess for interval change.
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frontal and lateral views of the chest. when compared to prior, there has been interval resolution of previously seen edema. there is no effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
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<unk>-year-old female with cough and fever.
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retrocardiac opacity likely represents left basal consolidation. the right lung is mostly clear. there is no significant pleural effusion bilaterally. there is no pneumothorax. the heart size is enlarged. there is blunting of the ap window and wide mediastinal silhouette, which may be due to thoracic aortic aneurysm. ett terminates approximately <num> cm from the carina, periphery positioning. the enteric tube courses below the diaphragm and out of view.
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<unk> year old woman intubated post-procedure // eval for placement of ett, ogt
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as compared <unk>, new peribronchiolar opacities have developed in the inferior lingular segment and to a lesser extent in left lower lobe. lungs remain hyperinflated, suggestive of copd. cardiomediastinal contours are normal and without change. no pleural effusion.
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<unk> year old man p/w <num> days productive cough and low-grade temps. yesterday fever to <unk>f, tachycardic // assess for infiltrate
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there is a small to moderate-sized left pleural effusion which has decreased from the most recent prior study. there is no pneumothorax, right pleural effusion or focal airspace consolidation. there has been improvement in mild pulmonary edema and vascular engorgement. the cardiac silhouette is normal in slightly decreased from prior. evidence of chronic lung disease and emphysema are again noted.
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cirrhosis, left pleural effusion now status post a recent thoracentesis. evaluate for the presence of a left effusion.
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as compared to prior chest radiograph from <unk>, there is partial obscuration of the right hemidiaphragm and there is a small right-sided pleural effusion. there is also a new area of increased opacity at the right lung base which could be related to volume loss. however, in the appropriate clinical setting, these findings could also reflect early pneumonia. the left lung is clear. the cardiomediastinal and hilar contours are within normal limits. there is no pneumothorax.
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<unk>-year-old man status post rml. study requested for evaluation of interval change.
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portable semi-upright radiograph of the chest demonstrates a normal cardiomediastinal silhouette. linear opacity in the bilateral lung bases is consistent with atelectasis. no focal consolidation is identified. there is no pleural effusion or pneumothorax.
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<unk>m w/ syncope
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pa and lateral views of the chest provided. right chest wall port-a-cath is again noted with catheter tip extending to the mid svc. there is increased left basal atelectasis. a nodule is again noted in the left upper lung measuring up to <num> mm in diameter. this finding is unchanged from most recent prior chest radiograph though was not seen on a prior chest ct from <unk>. no additional nodules are seen. no large effusion or pneumothorax. cardiomediastinal silhouette is unchanged. bony structures are intact. partially imaged catheter tubing noted in the upper abdomen.
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<unk>f with weakness and hyponatremia, history of metastatic colon cancer.
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the cardiac and mediastinal silhouettes appear within normal limits. there are no focal pulmonary opacities, pleural effusions, or evidence of pneumothorax. osseous structures appear unremarkable.
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cough and fever. evaluate for pneumonia.
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portable ap upright chest radiograph was obtained. the lungs are low in volume with diffuse reticular opacities, confluent more peripherally and more pronounced basally, which is consistent with pulmonary fibrotic disease. in the absence of prior examinations, it is difficult to assess if a given area has focally increased to reflect an acute change secondary to either infection or fluid accumulation. however, prominence of the pulmonary and mediastinal vasculature in this context suggests mild edema. heart size is top normal with normal aortic contours.
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hypertension presenting with syncope and right upper quadrant pain.
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a left subclavian port-a-cath terminates in the lower superior vena cava. the cardiac, mediastinal and hilar contours appear unchanged. there are similar nodular pulmonary opacities in each lower lung, one on each side; otherwise the lungs appear clear. the cardiac, mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. bony structures are unremarkable.
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malaise and headache. end-stage renal disease with renal transplant on immunosuppression therapy.
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low lung volumes significantly limit assessment. there is mild perihilar vascular prominence likely representing congestion. there is no definite focal consolidation, pleural effusion, or pneumothorax. there is an abnormally widened mediastinal contour, minimally changed from <unk>. evaluation of the cardiac silhouette is limited there is no free intraperitoneal air. posterior spinal fusion hardware is noted overlying the lower thoracic and upper lumbar vertebral bodies. there is no fracture.
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<unk>f with neck swelling and hypoxia.
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previously seen left chest tube has been removed. there has been interval marked enlargement of the now large left pleural effusion. there is a small amount of remaining aerated left lung near the apex. there is significant rightward shift of mediastinal structures, also new. the right lung is relatively well aerated. prominence of the right lung interstitium may relate to crowding of bronchovascular structures. no definite pulmonary vascular congestion seen in the right lung. no pneumothorax or right pleural effusion.
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<unk>f with decreased breath sounds on left, evaluate for acute process.
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single portable view of the chest. new right ij central venous catheter is seen with tip in the region of the upper svc. endotracheal tube tip is <num> cm from the carina. enteric tube passes below the inferior field of view. there is no definite pneumothorax. appearance of the chest is again notable for diffuse bilateral parenchymal opacities.
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<unk>-year-old male with new line.
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pa and lateral views of the chest provided. left chest wall pacer device is again seen with leads extending into the region of the right atrium, right ventricle and coronaries sinus. midline sternotomy wires and prosthetic cardiac valve are again noted. the heart is top-normal in size. the mediastinal contour is normal. the lungs are clear without focal consolidation, large effusion or pneumothorax. no convincing signs of edema or congestion. bony structures are intact. no free air below the right hemidiaphragm.
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<unk>m with hfref p/w dyspnea
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heart size is normal. there is no focal lung consolidation. there is no pleural effusion or pneumothorax.
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<unk> year old woman with <unk> week h/o cough and fever, evaluate for pneumonia.
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the cardiac, mediastinal and hilar contours are stable. the heart is at the upper limits of normal size. there is no pleural effusion or pneumothorax. the lungs appear clear. old rib fractures appear unchanged. mild rightward convex curvature is again centered along the lower thoracic spine.
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chest pain.
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the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. no definite left rib fracture is identified.
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<unk>-year-old male with left-sided rib pain status post fall, rule out rib fracture.
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there are low lung volumes with accentuation of the cardiomediastinal contours and central pulmonary vasculature. heart size is top normal. no strong evidence for pneumonia or pleural effusion. no pneumothorax. osseous structures are intact.
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history: <unk>f with w/ dyspnea // ? acute cardiopulm problem pna
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single portable view of the chest is compared to previous exam from <unk>. compared with prior, there has been interval improvement in aeration at the right lung base with more clear delineation of the right hemidiaphragm. there is persistent increased opacity in the left hemithorax with associated volume loss on this side, similar to ct scan from <unk>. there is persistent obscuration of the left hemidiaphragm. cardiomediastinal silhouette has not changed. dual-lead pacing device is again noted as is a tracheostomy tube. subluxation of the glenohumeral joints is again noted.
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<unk>-year-old male with altered mental status.
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the lungs are well-expanded and clear. the heart is top-normal in size. there is no pneumothorax, pleural effusion, or consolidation. no displaced rib fractures identified.
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<unk>f with <num> week evolving l shoulder --> l chest --> epigastric --> back pain.
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the heart size is upper limits of normal. the mediastinal and hilar contours are unchanged from prior. there is no evidence for pulmonary edema, pulmonary consolidation, pneumothorax or pleural effusion. thoracic aorta is tortuous, unchanged from prior. mild right for scoliosis is unchanged from prior.
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<unk> yo man with aml s/p allo transplant <unk> year ago. now with uri symptoms, shortness of breath. evaluate for pneumonia.
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the lung volumes are low. the cardiac, mediastinal and hilar contours appear stable including mild cardiac enlargement. a linear opacity projecting over the left mid lung suggests minor atelectasis, but elsewhere, the lungs appear clear. there is no pleural effusion or pneumothorax. upper thoracic interspaces again appear mild to moderately narrowed. anterior osteophytes are moderate in size along several lower thoracic interspaces.
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rheumatoid arthritis and atrial fibrillation presenting with left lower quadrant tenderness.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>m with bilateral hand swelling, wrist fracture, elevated lactate // ?fx ?foreign body ?pna
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left chest wall dual lead pacing device is seen in stable position. median sternotomy wires and mediastinal clips are again noted. cardiomediastinal silhouette is stable. the lungs are clear. no acute osseous abnormalities. degenerative changes noted at the right acromioclavicular joint.
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<unk>m with recent ppm placement (<unk>) who presents with unilateral ue swelling in the arm on the ipsilateral side as ppm // any clot in the brachial or subclavian veins?
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ap upright and lateral views of the chest provided.there is no focal consolidation, effusion, or pneumothorax. cardiac silhouette appears mildly enlarged. the mediastinal contour is unremarkable aside from a mildly unfolded thoracic aorta. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
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<unk>f with ams // rule-out pneumonia
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frontal and lateral views of the chest demonstrate normal lung volumes. there is no pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. the right cardiac silhouette is well defined and appears enlarged. there is no pulmonary edema.
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weakness.
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as compared to chest radiograph from the same day, the iabp has been advanced and is now beyond the transverse portion of the aortic arch approximately <num> cm, near the origin of the lsca. swan-ganz catheter remains in good position. endotracheal tube is <num> cm from the carina. no overt pulmonary edema. mild basilar atelectasis. small bilateral effusions.gastric distention is partial visualized.
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<unk> year old man with shock // iabp repositioning
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. there are mild degenerative changes in the thoracic spine
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<unk>m with inflammatory arthritis on methotrexate with dyspnea // eval for ild or other cause of dyspnea
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low lung volumes are seen. there is dense retrocardiac opacity asymmetric when compared to the right. tracheostomy tube is in place. right-sided central venous catheter tip projects over the lower right atrium. cardiac size is difficult to assess given low lung volumes and left basilar opacity.
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<unk>m with ams // eval for ich
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pa and lateral views of the chest provided. previously detected pulmonary nodules are not conspicuous on chest radiograph. the lungs appear relatively clear. the heart size is normal. the mediastinal contour is prominent due to a unfolded thoracic aorta. no pleural effusion or pneumothorax. bony structures are intact. degenerative changes and dextroscoliosis partially noted in the imaged lumbar spine.
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<unk>f with paranoia? // eval for pna
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. elevation of the right hemidiaphragm is unchanged from chest radiograph <unk>
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history: <unk>f with abd pain and pancreatitis, dka, wbc elevation to <unk>, pna? effusion? // history: <unk>f with abd pain and pancreatitis, dka, wbc elevation to <unk>, pna? effusion?
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the lungs are clear. there is no focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>m with cp // eval for cp
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ap single view of the chest has been obtained with patient in semi-upright position. comparison is made with the next preceding similar study obtained on <unk>. patient remains with tracheostomy cannula in unchanged position. no pneumothorax or new pulmonary parenchymal infiltrates can be seen. an ng tube is barely seen through the somewhat underpenetrated chest view but it can be seen that the tip of the tube reaches barely below the level of the hilar region and is still about <unk> to <num> cm above the hilar region. previously identified right-sided picc line remains in unchanged position.
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<unk>-year-old female patient status post mvc, now with nasogastric tube for feeding, evaluate placement of tube.
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there is mild interstitial edema. left base atelectasis seen without definite focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. focal more scoliosis is noted and partially imaged.
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history: <unk>f with cough // evaluate for pneumonia
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cardiomediastinal silhouette is within normal limits. lungs are well-expanded and clear. there is no pleural effusion or pneumothorax.
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history: <unk>f with cough, chills // ? infiltrate
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there has been significant improvement in the right lung opacities with only a small residual area of parenchymal opacification in the right mid lung. the left lung is clear. the pulmonary vasculature is normal. cardiomediastinal silhouette is stable. there is no pneumothorax. there is no pleural effusion.
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<unk> year old man with cop, on prednisone // eval for improvement in opacities
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the cardiac silhouette is mildly enlarged, as before and unchanged. there is a left chest icd with lead extending to the right ventricle. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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history: <unk>m with left-sided chest pain, similar to past myocardial infarction. evaluate for pneumonia, pulmonary edema, fracture
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frontal and lateral views of the chest. the lungs are clear. there is no consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified.
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<unk>-year-old male with chest discomfort.
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two frontal images of the chest demonstrate a new left ij central line in place with the tip in the mid svc. there is no pneumothorax or other complication seen. the chest appears otherwise unchanged from imaging earlier the same day. large bilateral pleural effusions and atelectasis are again seen. cardiomediastinal silhouette is unchanged.
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<unk>-year-old female, status post rewiring of left ij.
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interval decrease in heart size, now normal with stable tortuosity of the aorta. no focal consolidation, pleural effusion or pneumothorax. no pulmonary edema.
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<unk> year old man withmultiple myeloma // pre bmt eval
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there are numerous bilateral pulmonary nodules and masses, appearing more prominent compared to the radiograph from <unk>. a superimposed pneumonia is difficult to exclude. no pleural effusion is noted. the cardiac silhouette is normal in size, and a right port-a-cath is in similar position.
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<unk>-year-old female with cough, currently on chemotherapy for lung ca. eval for pneumonia.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. the osseous structures are unremarkable.
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chest pain.
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bibasilar linear opacities are unchanged from prior radiographs on <unk>, and represent subsegmental atelectasis. the lungs are otherwise clear without new consolidation or edema. there is no pneumothorax or pleural effusion. the cardiomediastinal silhouette is normal. the osseous structures are unremarkable.
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altered mental status. evaluate for pneumonia.
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the heart is normal in size. the mediastinal and hilar contours appear within normal range. there is no pleural effusion or pneumothorax. the lungs appear clear. there is a mild superior endplate compression deformity along a mid thoracic vertebral body, probably t<num>.
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ischemic stroke. question aspiration.
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an endotracheal tube terminates <num> cm from the carina with distension of the mid trachea suggesting mild hyperinflation of endotracheal tube balloon. an enteric tube courses below the diaphragm outside of the field of view. a coronary stent projects heart. mild central pulmonary vascular congestion is associated with mild interstitial pulmonary edema. left retrocardiac opacification likely represents a combination of effusion and compressive atelectasis. a faint nodular opacity in the left upper lung adjacent to a rounded structure external to the patient is likely due to overlapping densities of the ribs at this level. attention on followup is recommended. there is no pneumothorax. the osseous structures and upper abdomen are unremarkable. dense calcification of the aortic arch is noted.
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<unk>f with bradycardia, hypotsnsion, evaluate for acute process.
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ap portable upright view of the chest. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
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<unk>m with dyspnea s/p fall // infiltrate or hemothorax/ptx
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tip of a left-sided picc line ends at lower svc. both lungs are well expanded and there are no opacities concerning for pneumonia or aspiration or pulmonary edema. both pleural spaces are normal. heart size is normal, mediastinal and hilar contours are unremarkable.
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to look for the picc position.
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moderate enlargement of the cardiac silhouette is demonstrated, slightly more pronounced than on the prior study. the mediastinal and hilar contours are normal. pulmonary vasculature is not engorged. streaky atelectasis is noted in the retrocardiac region. small left pleural effusion is noted. no pneumothorax is identified. there are mild degenerative changes in the thoracic spine.
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history: <unk>f with pmhx copd, recent des to rca last week presenting with chest pain, shortness of breath. // pneumonia vs edema?
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when compared to prior chest x-ray, there is wide mediastinum noting lack of clear delineation of the aortic knob with increased density lateral to the descending thoracic aorta. trachea is also deviated to the right. findings are compatible with known ruptured subclavian artery pseudoaneurysm as seen on same day chest ct. cardiac silhouette is within normal limits. no focal consolidation identified. there is no large pleural effusion.
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<unk> year old man with l scl ruptured pseudoaneurysm // now with hemoptysis, pls evaluate for acute change
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a right picc is unchanged with the tip terminating in the low svc. a right upper abdominal biliary drain is also in place. the inspiratory lung volumes remain low. bibasilar atelectasis on the right greater than the left is unchanged with probable small amount of pleural fluid. no focal consolidation or pneumothorax is seen. the pulmonary vasculature is not engorged. the cardial mediastinal and hilar contours are within normal limits and unchanged.
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fever and rigors s/p right liver lobectomy, here to evaluate for pneumonia.
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low lung volumes. heart size is at the upper limits of normal and unchanged. the mediastinal and hilar contours are unchanged. the pulmonary vasculature is normal. mild bibasilar atelectasis. lungs are otherwise clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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history: <unk>f with altered mental status, diplopia, status post meningioma resection. evaluate for acute process
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the heart size is borderline enlarged. the aorta is mildly tortuous. hilar contours are unchanged, and no pulmonary vascular congestion is seen. streaky bibasilar airspace opacities including within the right mid lung field could reflect atelectasis but infection or aspiration cannot be excluded. no pleural effusion or pneumothorax is detected. compression deformity of a mid thoracic vertebral body is unchanged, with remote right-sided rib and mid clavicular fractures again noted.
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syncope.
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a portable frontal chest radiograph demonstrates interval placement of a nasogastric tube. the tip terminates within the stomach, but the side port remains in the distal esophagus. a large right pleural effusion is unchanged. there has been interval progression of multifocal left lower lung opacities. there is no pneumothorax.
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evaluate nasogastric tube placement in a patient with small bowel obstruction.
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pa and lateral chest radiographs demonstrate no focal consolidation or pleural effusion, or pneumothorax. possible scarring at the left lung base from prior pneumonia is seen. s-shape scoliosis of the thoracic spine is again noted. the cardiomediastinal silhouette is normal.
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fever and cough. history of left lower lobe pneumonia.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
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<unk> year old man with <num> weeks slowly improving cough, with <num> days fevers/sweats // assess for pneumonia
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adenopathy is present in both hila, right greatere than left, and in at least the right lower paratracheal and ap window stations of the mediastinum. lungs are clear, pulmonary vasculature is not engorged and the cardiac silhouette is normal size. the trachea is midline.
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chest pain and tachycardia, here to evaluate for acute cardiopulmonary process.
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there is a large hiatal hernia with air-fluid levels seen. left basilar opacity may in part be due to adjacent atelectasis however, there is concern for a small pleural effusion with overlying atelectasis, underlying consolidation not excluded. right basilar opacity is most likely due to atelectasis. no right pleural effusion is seen. there is no pneumothorax. the aorta is calcified. the cardiac silhouette is difficult to assess due to the large hiatal hernia, but may be mildly enlarged. no overt pulmonary edema is seen.
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history: <unk>f with chest pain // eval for pna
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the right picc line terminates in the superior portion of the svc. is bibasilar atelectasis is again noted. intact median sternal wires are seen. buttress plate and fixation screws are noted at the right humeral head.
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<unk> year old woman with old picc // please evaluate for picc location
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single portable view of the chest. previously identified left sided effusion has resolved. the lungs are clear consolidation or pulmonary vascular congestion. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected.
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<unk>-year-old female with hypoension.
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an ng tube is present. the tip and side-port extend beneath the diaphragm. right ij central line tip overlies mid svc. again seen is essentially complete opacification of the left hemi thorax, probably with leftward shift of the mediastinum. the right lung is grossly clear, with possible minimal atelectasis inferiorly. the extreme right costophrenic angle is excluded from the film, but no gross effusion is identified.
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<unk> year old man with legionella pna, ng tube replacement // ng tube placement
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no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema is seen.
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history: <unk>f with <num> weeks left sided chest pressure // evaluate for consolidation, mass
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frontal and lateral chest radiographs. there is mild cardiomegaly as well as trace bilateral effusions within the fissures. there is minimal pulmonary edema as evidenced by interlobular septal thickening, particularly in the left lower lobe. there is no pneumothorax.
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abdominal pain.
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the cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. the osseous structures are unremarkable.
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chest pain.
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the heart size is top normal. the mediastinal and hilar contours are unremarkable. lung volumes are low. no pleural effusion or pneumothorax is present, and no pulmonary vascular congestion is identified. mild diffuse hazy and streaky opacities are noted within the lungs, without focal consolidation. no acute osseous abnormality is seen.
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thrush, history of hiv.
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no significant interval change. the small right pleural effusion persists and is unchanged. asymmetric opacity in the right cardiophrenic angle is overall similar to <unk> and likely atelectasis. no focal consolidation to suggest pneumonia. degenerative changes in the visualized thoracic spine with anterior osteophytes are unchanged. the heart is normal in size. no pneumothorax or pulmonary edema.
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<unk> year old man s/p rll pna // follow-up
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overall, there is very little interval change in comparison to the prior study from the day before. endotracheal tube appears in place in the mid trachea. chest tube appears in place on the right impinging on the mediastinum. enteric tube traverses to the stomach. again noted is massive air collection in the soft tissues causing multiple horizontal lines which overly the entire thorax and any potential pneumothorax would be very difficult to diagnose. within these limitations, there is no evidence of a definite persisting right pneumothorax. the previously noted pneumomediastinum has continued to decrease from <unk>. there is no change in appearance of the lung parenchyma or the hemidiaphragms. multiple bilateral rib fractures are again noted.
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history of copd status post fall with bilateral rib fractures and right pneumothorax, evaluation for interval change.
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the heart is mildly enlarged. the mediastinal and hilar contours appear unchanged. the lungs appear clear. there are no pleural effusions or pneumothorax.
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pad. question pulmonary edema.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>f with recrudence of stroke symptoms. r/o infection // ?pneumoni
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portable ap chest radiograph. median sternotomy wires are intact and mediastinal clips are again noted. there is are bibasilar interstitial opacities, moreso on the right. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is stable.
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chest pain.
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frontal and lateral chest radiographs again demonstrate a left chest wall pacer device with leads overlying the right atrium and ventricle. moderate cardiomegaly is unchanged. the mediastinal silhouette is within normal limits. faint retrocardiac opacity likely represents atelectasis, though pneumonia cannot be excluded in the right clinical setting. there is no appreciable pleural effusion or pneumothorax. the visualized upper abdomen is unremarkable.
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evaluate for pneumonia in a <unk>-year-old man with shortness of breath.
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there is a large left pleural effusion. no evidence of displaced rib fractures. if there is high clinical concern for rib fractures, consider dedicated rib series. cardiomediastinal silhouette and hila appear normal. there is no pneumothorax.
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<unk>-year-old man with left-sided rib pain.
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sternotomy wires are intact. lungs are well inflated and clear. heart size and mediastinal contours are normal. no pleural effusion or pneumothorax. osseous structures are intact. surgical clips in the right upper quadrant suggest prior cholecystectomy.
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<unk>f with cough, left sided back pain with coughing. // pneumonia?
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Subsets and Splits
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